Individual provider Active NPI

Shujing Lin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1487027496
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
30528901 Issued in NY
Practice address
6309 New Utrecht Ave
Brooklyn, NY 11219-5425
Phone
(347) 713-5866
Fax
(347) 713-3008
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 30528901 NY Primary

Addresses

Primary practice location

6309 New Utrecht Ave
Brooklyn, NY 11219-5425

Mailing address

6309 New Utrecht Ave
Brooklyn, NY 11219-5425
Phone (347) 713-5866

Other practice location 1

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 938-7168

Other practice location 2

205 N belle mead road
stony brook, NY 11790-3638
Phone (631) 444-4654

Other names 1

  • Dr. Shu-Jing Lin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000830 NY Practitioner - Internal Medicine 0749574374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

6309 New Utrecht Ave
Brooklyn, NY 11219-5425
Phone (347) 713-5866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30528901NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Jul 18, 2020 Accepting new patients

Locations

6309 New Utrecht Ave
Brooklyn, NY 11219
Phone (347) 713-5866

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

139 Centre St
Ste 711
New York, NY 10013
Phone (646) 601-6229

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1487027496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195425",
            "telephone_number": "347-713-5866",
            "fax_number": "347-713-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195425",
            "telephone_number": "347-713-5866",
            "fax_number": "347-713-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Ballenger Hwy",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323638",
            "country_code": "US",
            "telephone_number": "810-938-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N belle mead road",
            "address_purpose": "LOCATION",
            "city": "stony brook",
            "state": "NY",
            "postal_code": "117903638",
            "country_code": "US",
            "telephone_number": "631-444-4654",
            "fax_number": "631-444-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "SHUJING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "30528901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHU-JING",
            "last_name": "LIN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.